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Care Manager, LTSS (RN) (Field travel in Columbia County, WI)

Molina Healthcare

Portage, MI
3 days ago
$26.41 - $51.49

Job Description

Join Molina Healthcare as a Care Manager (RN) to support members with high needs by coordinating integrated care across various services. This role involves face-to-face assessments, developing care plans, and facilitating services to enhance member well-being and health outcomes while requiring 50-75% travel within specific counties.

Key Responsibilities

  • Conduct comprehensive assessments of members
  • Facilitate waiver enrollment and disenrollment processes
  • Develop and implement case management plans
  • Monitor care plans and evaluate effectiveness
  • Assess for medical necessity and authorize waiver services
  • Conduct home visits as required
  • Facilitate interdisciplinary care team meetings
  • Use motivational interviewing to support members
  • Identify and address barriers to care
  • Provide consultation to non-RN case managers
  • Conduct medication reconciliation when needed

Required Qualifications

  • Graduate from an Accredited School of Nursing
  • Active, unrestricted State Registered Nursing license (RN) in good standing
  • At least 1 year of experience with disabilities/chronic conditions and Long Term Services & Supports
  • 1-3 years in case management or medical/behavioral health settings
  • Valid driver's license with good driving record

Preferred Qualifications

  • Bachelor's Degree in Nursing
  • 3-5 years in case management or managed care settings
  • 1 year experience with waiver services
  • Active and unrestricted Certified Case Manager (CCM)

Benefits & Perks

Competitive benefits and compensation package